A 59-year-old with new AF is bradycardic after diltiazem; he remains symptomatic with palpitations. Which rate agent avoids excessive bradycardia?...

Question

A 59-year-old with new AF is bradycardic after diltiazem; he remains symptomatic with palpitations. Which rate agent avoids excessive bradycardia?

Accepted Answer

Switch to beta-blocker carefully titrated; avoid combining nondihydropyridine CCB with beta-blocker

Answer

Add digoxin to diltiazem to slow more

Answer

Start amiodarone outpatient

Answer

Use ivabradine

Answer

Stop all rate agents

us-abim MCQ (SBA): AF-Rate Control